Individual
DONALD KENNARD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
3428 BLACK HILLS RD NE, ALBUQUERQUE, NM 87111-5406
(505) 294-5090
Mailing address
3428 BLACK HILLS RD NE, ALBUQUERQUE, NM 87111-5406
(505) 294-5090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
Other
Enumeration date
02/01/2009
Last updated
02/01/2009
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